Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $20,892.96	Facility		$2,818.38	$4,677.35	$20,892.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $4,786.30	Facility		$2,344.23	$3,890.45	$4,786.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $3,890.45	Facility		$2,884.03	$3,630.78	$3,890.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Facility		$2,570.40	$2,570.40	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52